Updates in General SurgeryJanuary 12 – 15, 2018Vail Marriott Mountain ResortVail, Colorado

Register Today! ccfcme.org/UpdateGENSUR

Cleveland Clinic presents…

ABS MOC Self-

Assessment credits

PRIMARY ACTIVITY DIRECTOR

Michael Rosen, MDProfessor of Surgery, Cleveland

Clinic Lerner College of MedicineDirector, Comprehensive Hernia

CenterDepartment of General SurgeryCleveland ClinicCleveland, OH

COURSE DESCRIPTION

Technology for general surgery is constantly evolving. This course will provide an interactive and comprehensive experience focusing on management and treatment options from a general surgical perspective. The goal of the Cleveland Clinic presents Updates in General Surgery is to provide an atmosphere to foster collaboration, innovation and sharing a cost-effective diagnostic approach for patients with complex general surgery cases involving hernia, oncology and HPB, as well as endocrine, colorectal and foregut surgery. We will cover what is new in enhanced recovery protocols and offer interactive sessions consisting of cases and questions and answers. American Board of Surgery (ABS) Maintenance of Certification (MOC) self-assessment credits will be offered.

EDUCATIONAL OBJECTIVES

After completing this educational activity, the participant will be able to do the following:

• Describe the management of common general surgery emergency cases• Describe the indications and contraindications for managing various cases of ventral and inguinal

hernia repairs.• Discuss evidence-based and cost-effective diagnostic approach for patients with common benign

and malignant colorectal cases.• Rationalize patient management and treatment options for patients with breast disease, soft tissue

and endocrine tumors.• Identify treatment options for patients with paraesophageal hernias, and biliary and

pancreatic diseases• Review and provide update on current enhanced recovery protocols.

TARGET AUDIENCE

This interactive, comprehensive event is designed for general surgeons.

PRIMARY ACTIVITY DIRECTOR ACTIVITY CO-DIRECTORS

Stacy A. Brethauer, MDAssociate Professor of Surgery, Cleveland Clinic

Lerner College of MedicineProgram Director, Bariatric Surgery FellowshipDirector of Bariatric Surgery, Fairview HospitalMedical Director, Supply Chain ManagementQuality Officer, Digestive Disease and

Surgery InstituteCleveland Clinic

Stephen Grobmyer, MDProfessor of Surgery, Cleveland Clinic Lerner

College of MedicineDirector, Breast Services and Surgical OncologyDepartment of General SurgeryDigestive Disease & Surgery InstituteCleveland Clinic

Ajita Prabhu, MDAssistant Professor of Surgery, Cleveland Clinic

Lerner College of MedicineAssociate Program Director / Director of

Simulation, Cleveland Clinic General Surgery Residency Program

Department of General SurgeryDigestive Disease & Surgery InstituteCleveland Clinic

Scott R. Steele, MDProfessor of Surgery, Cleveland Clinic Lerner

College of MedicineChairman, Department of Colorectal SurgeryRupert B. Turnbull, M.D. Endowed Chair in

Colorectal SurgeryDigestive Disease & Surgery InstituteCleveland Clinic

CLEVELAND CLINIC FACULTY

Eren Berber, MDBradley Champagne, MDAndrew Fenton, MDEmre Gorgun, MDDavid Krpata, MDMatthew Kroh, MDEmanuele Lo Menzo, MDDavid Maron, MDSteven Rosenblatt, MDPhilip Schauer, MDSamuel Szomstein, MDStephanie Valente, DOMatthew Walsh, MDJane Wey, MD

GUEST FACULTY

Shanu Kothari, MDFellowship Director of MIS/Bariatric SurgeryGunderson Health SystemLaCrosse, WI

Justin Maykel, MDGladys Smith Martin Endowed Chair in OncologyChief, Division of Colorectal SurgeryUMass Memorial Medical CenterWorcester, MA

Michael Rosen, MDProfessor of Surgery, Cleveland Clinic

Lerner College of MedicineDirector, Comprehensive Hernia CenterDepartment of General SurgeryCleveland ClinicCleveland, OH

AGENDA

Friday, January 12, 2018Co-Activity Director: Ajita Prabhu, MD

SESSION 1: HERNIA Morning Session

7:00 am Introduction to Course Michael Rosen, MD

7:10 am What’s in the Quiver? An Update on Mesh and Biomaterials Ajita Prabhu, MD

7:25 am How to Fix an Outtie: Approaches to Umbilical Hernia Repair David Krpata, MD

7:40 am Role of Robotics in Ventral and Inguinal Hernias: What Does the Data Say? Ajita Prabhu, MD

7:55 am Open Inguinal Hernia Repair – Options for Elective and Emergency Repair Samuel Szomstein, MD

8:10 am Break

8:20 am Techniques, Pearls and Pitfalls: MIS Inguinal Hernia Repair Steven Rosenblatt, MD

8:35 am My Straightforward Inguinal Hernia Repair Has Chronic Groin Pain! What Now? David Krpata, MD

8:50 am Stump the Professor (inguinal/ ventraldifficultcases)

9:05 am Panel Discussion

10:00 am Adjourn

Afternoon Session

4:00 pm Nuts and Bolts: Developing a Hernia Program David Krpata, MD

4:15 pm Prehabilitation for Abdominal Wall Reconstruction Ajita Prabhu, MD

4:30 pm ERAS for Hernias: Miracle or Myth? Steven Rosenblatt, MD

4:45 pm What We Have Learned from Collaboration: 4 Years of AHSQC Michael Rosen, MD

5:00 pm Retrorectus or Retro Wrecked Us? Have We Become Too Aggressive? Ajita Prabhu, MD

5:15 pm Component Separation: What Are My Options and When Should I Use Them? Emanuele Lo Menzo, MD

5:30 pm Parastomal Hernia Repair: The Gift that Keeps On Giving Michael Rosen, MD

5:45 pm Break

6:15 pm Putting Humpty Dumpty Back Together: Management of the Open Abdomen Emanuele Lo Menzo, MD

6:30 pm When Mesh Meets Bowel: Management of Fistulas and Infected Mesh Samuel Szomstein, MD

6:45 pm ETOH NO! Hernia Repair in the Cirrhotic Michael Rosen, MD

7:00 pm Panel Discussion and Case Presentations

8:00 pm Adjourn

8:00 – 9:30 pm Cocktailreception(Familieswelcome)

Saturday, January 13, 2018Co-Activity Director: Scott R. Steele, MD

SESSION 2: COLORECTAL SURGERY Morning Session: Benign Colorectal Disease

7:00 am Introduction Scott Steele, MD

7:05 am Diverticulitis David Maron, MD

7:20am ClostridiumDifficileInfection Justin Maykel, MD

7:35 am IBD: What the General Surgeon Should Know Emre Gorgun, MD

7:50 am Panel discussion

8:30 am Anorectal Disease Bradley Champagne, MD

8:50 am Anastomotic Leaks Justin Maykel, MD

9:05 am Colorectal Trauma & Rectal Foreign Bodies Scott Steele, MD

9:20 am Panel discussion

10:00 am Adjourn

Afternoon Session: MIS & Oncology

4:00 pm Introduction & Morning Recap Scott Steele, MD

4:05 pm Enhanced Recovery Following Colorectal Surgery Scott Steele, MD

4:20 pm Colorectal Polyps Emre Gorgun, MD

4:35 pm Colon Cancer: A Case-Based Discussion to Best Practice Bradley Champagne, MD

4:50 pm Panel discussion

5:30 pm Multidisciplinary Approach to Rectal Cancer Justin Maykel, MD

5:50 pm Stage IV Colorectal Cancer Bradley Champagne, MD

6:05 pm The “Other” Cancers – Carcinoid/Neuroendocrine/ GISTs/Lymphoma – Now what? David Maron, MD

6:20 pm Current Status of Robotics in Colorectal Surgery Emre Gorgun, MD

6:35 pm Panel discussion

Take Me to Your OR: Video Session

7:00 pm Video 1: Advanced Endoscopy Emre Gorgun, MD

7:15 pm Video 2: Lap Colectomy Justin Maykel, MD

7:25 pm Video 3: Lap Proctectomy David Maron, MD Bradley Champagne, MD

7:40 pm Panel/Ask the Experts: Cases/Questions Scott Steele, MD

8:00 pm Adjourn

Sunday, January 14, 2018Co-Activity Director: Stephen Grobmyer, MD

SESSION 3: SURGICAL ONCOLOGY Morning Session: Soft Tissue and Endocrine

7:00 am Thyroid Update Eren Berber, MD

7:15 am Parathyroid Eren Berber, MD

7:30 am Melanoma-Early Stage (local and regionalnodes) Jane Wey, MD

7:45 am Melanoma-Advanced Stage Jane Wey, MD

8:00 am GIST Matthew Walsh, MD

8:20 am Adrenal Incidentaloma Eren Berber, MD

8:35 am Retroperitoneal Sarcoma Jane Wey, MD

8:50 am Intra-Abdominal Neuroendocrine Tumors Eren Berber, MD

9:05 am Break

9:15 am Discussion Session/Cases

10:00 am Adjourn

Afternoon Session: Breast

4:00 pm Breast Benign (FA,discharge,abscess) Stephanie Valente, DO

4:15 pm High Risk Breast Lesions (ADH,ALH,LCIS) Andrew Fenton, MD

4:30 pm Breast Genetics Update/Surgical Risk Reduction Stephen Grobmyer, MD

4:45 pm Breast Cancer Patient Evaluation Stephanie Valente, DO

5:00 pm Update of AJCC Staging System Stephen Grobmyer, MD

5:15 pm DCIS Stephen Grobmyer, MD

5:30 pm Breast Conserving Therapy Stephanie Valente, DO

5:45 pm Mastectomy, Radiation, and Reconstruction Andrew Fenton, MD

6:00 pm Impact of Receptors on Clinical Management Stephanie Valente, DO

6:15 pm Axillary Sentinel Node Biopsy Andrew Fenton, MD

6:30 pm Patient Surgical Management Following NAC Stephen Grobmyer, MD

6:45pm InflammatoryBreastCancer Andrew Fenton, MD

7:00 pm Other Tumors (phyllodes, angiosarcoma,recurrentBC) Stephen Grobmyer, MD

7:15 pm Breast Cancer in Elderly Stephanie Valente, DO

7:30 pm Discussion Session/Cases

8:00 pm Adjourn

Monday, January 15, 2018Co-Activity Director: Stacy Brethauer, MD

SESSION 4: FOREGUT/HPB/ACS/BARIATRICS Morning Session: Foregut and Bariatric Surgery

7:00 am Introduction Stacy Brethauer, MD

7:05 am Large Paraesophageal Hernia Repair: When and How Philip Schauer, MD

7:20 am GERD and Obesity. Nissen or Bypass? Stacy Brethauer, MD

7:35 am The Wrap’s in the Chest… Managing Recurrent Hiatal Hernias Matthew Kroh, MD

7:50 am Panel Discussion

8:35 am Managing Pancreatic Cysts 2018: What Do We Know? Matthew Walsh, MD

8:50 am Achalasia. Current Management Algorithm Matthew Kroh, MD

9:05 am Laparoscopic Distal Pancreatectomy. Technique, Tips, and Tricks Matthew Walsh, MD

GENERAL INFORMATION

LocationVail Marriott Mountain Resort 715 West Lionshead Circle Vail, CO 81657 Call: 1.877.622.3140 (Mention group name: Cleveland Clinic Updates in General Surgery)

Online: https://aws.passkey.com/go/ccf2018

$399 per night (Standard Room)

($35 daily resort fee has been reduced to $20 per day for all conference attendees)

Room block at the above group rate is limited and will expire by December 12, 2017, or until block is full. Early reservations are strongly encouraged as MLK weekend does sell out.

InformationIf you have any questions about the conference, please do not hesitate to contact Rita Rys at rysr@ccf.org.

Americans with Disabilities ActThe Cleveland Clinic Foundation Center for Continuing Education fully intends to comply with the legal requirements of the Americans with Disabilities Act. If you need assistance, please notify us at ddicme@ccf.org at least two weeks prior to the activity.

AccreditationThe Cleveland Clinic Foundation Center for Continuing Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The Cleveland Clinic Foundation Center for Continuing Education designates this live activity for a maximum 26.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Participants claiming CME credit from this activity may submit the credit hours to the American Osteopathic Association for Category 2 credit.

This activity qualifies for 26.75 self-assessment credits toward Part 2 of the American Board of Surgery (ABS) Maintenance of Certification (MOC) Program.

Faculty DisclosureThe Cleveland Clinic Foundation Center for Continuing Education has implemented a policy to comply with the current Accreditation Council for Continuing Medical Education Standards for Commercial Support requiring resolution of all faculty conflicts of interest. Faculty declaring a relevant commercial interest will be identified in the activity syllabus.

Fee includes: Breakfast, Afternoon snacks each conference day; Friday evening cocktail reception

Category On or before Nov 30, 2017 After Nov 30, 2017

Physician $650 $750

Non-Physician $250 $300

Resident/Fellow $250 $300

Corporate $1,300 $1,300

Register online at ccfcme.org/UpdateGENSUR

9:25 am Panel Discussion

10:00 am Adjourn

Afternoon Session: Bariatric Surgery

4:00 pm Introduction & Morning Recap Stacy Brethauer, MD

4:05 pm Managing Early Gastric Bypass Complications Shanu Kothari, MD

4:20 pm Managing Early Sleeve Gastrectomy Complications Philip Schauer, MD

4:35 pm Managing Late Gastric Bypass Complications Stacy Brethauer, MD

4:50 pm Panel Discussion

5:35 pm Diabetes Surgery: 5 year Outcomes of Sleeve and Bypass Philip Schauer, MD

5:50 pm How to Manage Biliary Disease in a Gastric Bypass Patient Matthew Kroh, MD

6:05 pm Best Strategy for Hernia Repair in Obese Patient Shanu Kothari, MD

6:20 pm How to Handle the Impossible Gallbladder, Tips and Tricks from an HPB Surgeon Matthew Walsh, MD

6:35 pm Panel Discussion

Take Me to Your OR: Video Session Moderator: Stacy Brethauer, MD

7:05 pm Video 1 Revisional Foregut Case

7:15 pm Video 2 Bariatric Emergencies

7:25 pm Video 3 Transgastric ERCP

7:35 pm Panel/Ask the Experts: Cases/Questions

8:00 pm Adjourn

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